Sr. Manager, RCM

Astera Cancer Care; Nashville (TN); Remote; USD 90,000 - 140,000; Full time

Job summary

OneOncology is seeking a Sr. Manager, RCM (Urology) to lead day-to-day revenue cycle operations for the Practice Specialty. You will oversee pre-bill, EDI and AR teams, collaborate with staff and leadership, and implement sustainable workflows to protect financial health.

You will hire and coach team members, develop staffing models, and drive denial reduction via root cause analysis and cross-functional alignment. This role is remote with national scope.

Qualifications

• Bachelor’s degree or equivalent experience required.
• 5+ years in RCM operations.
• 3+ years in people leadership.
• 2+ years in the Practice Specialty.
• Deep understanding of RCM workflows and compliance.
• Experience leading global teams and vendor partners.
• Ability to design role-based trainings and onboarding.
• Ability to define metrics, perform root cause analysis, and drive actions.
• Experience with workflow optimization, system implementation, and training delivery.
• Cross-functional collaboration with clinical, operational, and RCM teams.

Responsibilities

• Oversee end-to-end RCM operations for the Practice Specialty.
• Directly manage pre-bill, EDI and accounts receivable teams.
• Hire and evaluate team members and manage performance.
• Create staffing models to meet practice demand.
• Develop and maintain standard workflows with RCM leadership.
• Reduce denials by root cause analysis and upstream fixes.
• Communicate with practice staff and leadership to improve revenue cycle performance.
• Serve as SME to maximize revenue and ensure compliant workflows.

Skills

RCM operations

Team leadership

Performance metrics

Process improvement

Cross-functional collaboration

Root cause analysis

Training program design

Workflow optimization

Vendor management

Healthcare compliance

Education

Bachelor’s degree or equivalent experience

Job description

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision.Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.Job Description:Role Summary:The Sr. Manager, RCM (Urology) will be responsible for managing the daily operations of RCM. This role oversees the pre-billing, EDI and Accounts Receivable teams for the Practice Specialty. The role will require collaboration with Practice Staff, Operational Leadership, RCM teams and vendor partners to ensure all patient services are billed and collected in a timely and accurate fashion. The position is responsible for creating sustainable workflows and communicating effectively to protect the financial health of the Practice and reduce revenue leakage.Primary Responsibilities:Responsible for overseeing the entire RCM operations for the Practice Specialty to ensure end-to-end workflows are created and maintainedDirectly responsible to manage the pre-bill, EDI and accounts receivable team members for the Practice specialty.Hire new team members as necessary and manage the performance of all existing team membersCreate and maintain a staffing model that adequately meets the demand of the practiceDevelop and maintain standard workflows in collaboration with other RCM leadersWork with direct reports to reduce denials by examining root cause and correcting gaps upstreamCommunicate effectively with practice staff and operational leadership to improve performance of the overall revenue cycleAct as a subject matter expert on the Practice Specialty to maximize revenue and maintain compliant workflows and billing.Cross-Functional AlignmentEnsure alignment between Practice staff, operational leadership and the RCM team.Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.Required Qualifications:Bachelor’s degree or equivalent experience5+ of experience in RCM operations3+ years in leading teams2+ years in the Practice SpecialtyDeep understanding of RCM workflowsProven experience leading global teams and vendor partnersStrong working knowledge of healthcare complianceExperience designing and delivering role‑based training programs for staff, including onboarding, workflow changes, and system updatesAbility to define, track, and interpret operational and revenue cycle metrics (e.g., charge lag, denials, documentation accuracy), conduct root‑cause analysis, and drive corrective actionsExperience with workflow optimization, system implementation, and training deliveryExperience working cross-functionally with clinical, operational, and RCM teamsEssential Competencies:Attendance is an essential job function.Ability to lead end‑to‑end workflow design, system implementation, and stabilization efforts, identifying inefficiencies and managing changeAbility to establish governance standards and ensure alignment between clinical and revenue cycle stakeholdersAbility to design, deliver, and sustain role‑based training programs tailored to clinical and operational audiencesSkilled in analyzing performance metrics, conducting audits, leading root cause analysis, and driving corrective actionsDemonstrated continuous improvement mindset, with experience scaling best practices across sites or marketsProven ability to drive operational performance and revenue improvementStrong collaboration, verbal, and written communication skills#LI-REMOTE